Individual
JEFFREY W HUOTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
138 W HIGHLAND RD, STE 950, HOWELL, MI 48843-2196
(517) 545-2400
(888) 258-0150
Mailing address
138 W HIGHLAND RD, STE 950, HOWELL, MI 48843-2196
(906) 487-1710
(906) 487-9421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301084067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA3556
RAILROAD MEDICARE GROUP
MI
01
—
P00642888
RAIL ROAD MEDICARE
MI
Enumeration date
03/08/2007
Last updated
06/16/2021
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